1207: Follow-up of women with inadequate papanicolau smear

F. Lopez1, E. Arcos1, O. Quezada2
1 Facultad Enfermeria, Universidad Andres Bello, Santiago, Chile; 2 Citopathology Laboratory, Complejo Asistencial Barros Luco Trudeau, Santiago, Chile
Background: In Chile, the classification system of cervical cytology reports diagnostic codes defined in the National Cervical Cancer Program (adapted from the classification of Bethesda 2001) has helped define the quality of cytology specimens and their specific characteristics.
Object: To know the cytological result of the compliance of the standard ministerial Cervical Cancer Program, regarding cytology reports classified as inadequate in health control women of a primary care South Metropolitan Area of Santiago de Chile, period 2010-2011.
Patients and methods: An epidemiological cyto-histologic follow-up study of 2,547 women with inadequate cervical cytological reports which were followed by cohort by cause of inadequacy (smears with endocervical cells only, indicating little, haemorrhagic, inflammatory, poorly secured, scarce and limited haemorrhagic and inflammatory). The analysis of the data was performed using the „Tree Conditional Probabilities.“
Results: Of the 2547 women with these smears, half of them 1285 (50.5%) met the standard ministerial repeat of these inadequate smears. 1087 women with normal cytology (85.7%) and the detection of cervical lesion cohort ranged between 1.1% (low and inflammatory) and 4.2% (bad set). Cohorts of smears and endocervical cells only scarce and haemorrhagic showed no cytopathological lesions.
Conclusions: To ensure the quality and safety of the national program is essential to increase the performance of the standard tracking inadequate smears, especially in women with inadequate cytological reports of bleeding and inflammatory

Disclosure: No conflict of interest declared